Erin Smith
Santa Cruz, CA - California, United States
Erin Smith was diagnosed with celiac disease in the early 1980s, so she’s been eating gluten-free almost her entire life. Erin has a unique perspective of growing up in the gluten-free community and blogs about living — and enjoying — a gluten-free lifestyle.
Erin Smith has been writing her gluten-free lifestyle blog Gluten-Free Fun since 2007. In 2011, she launched Gluten-Free Globetrotter, a website that encourages those with celiac disease to travel the world and not be scared about eating gluten-free domestically and abroad. Erin is also the lead organizer of the NYC Celiac Disease Meetup group, a social community that has grown to over 1850 members in the 8 years she has been organizing the group.
http://glutenfreefun.blogspot.com
http://glutenfreeglobetrotter.comSee my complete profile

I received an interesting press release from the Endocrine Society yesterday. Apparently this society "is the world’s oldest, largest and most active organization devoted to research on hormones and the clinical practice of endocrinology." Endocrinology is the branch of medicine that focuses on the endocrine system which includes the thyroid, hypothalamus, pituitary gland, ovaries and testes, pancreas and more.

As someone living with both Celiac disease and a thyroid disorder, I find this society's information and this study interesting. Please read on...

Chevy Chase, MD–Celiac disease patients who experience chronic damage in the small intestine may be more likely to break a hip than those whose intestinal tissues have begun healing, according to new research accepted for publication in the Endocrine Society’s Journal of Clinical Endocrinology & Metabolism (JCEM).

Celiac disease is an autoimmune condition that affects about 1 percent of the U.S. population. When people with the condition eat gluten—a protein found in grains like wheat—it triggers an immune response in the small intestine. Patients with this condition face a higher risk of breaking a bone, but studies have reached contradictory conclusions about whether the fracture risk remains elevated long after the disease is diagnosed and managed with a gluten-free diet.

“We believe that giving the mucous membrane—the moist tissue lining the small intestine—a chance to heal can lower the risk of complications, including bone fractures, in celiac patients,” said one of the study’s authors, Jonas F. Ludvigsson, PhD, MD, of Karolinska University Hospital and Karolinska Institute in Stockholm, Sweden. “Our research confirmed that patients had a higher rate of hip fractures when tissue damage persisted over time. Sticking to a gluten-free diet is crucial for minimizing tissue damage and reducing the risk of a serious fracture that could cause other complications.”

The cohort study analyzed tissue samples from 7,146 Swedes who were diagnosed with celiac disease from July 1969 to February 2008 and received follow-up biopsies within five years of diagnosis. Researchers examined intestinal tissue from the biopsies to determine the level of damage. Among this population, 43 percent had persistent villous atrophy where the intestinal tissue did not heal. (The villi are tiny structures that project from the lining of the small intestine.)

Researchers analyzed patient records to determine how many had broken bones. Patients were monitored for a median of 10.3 years after being diagnosed with celiac disease. The study found that people who had persistent tissue damage were more likely to break a hip. All patients faced a similar risk close to the time of the follow-up biopsy. The group with persistent tissue damage had a heightened risk of hip fracture beginning five years after the follow-up biopsy, indicating a higher long-term risk.

“Physicians have debated whether people with celiac disease actually benefit from a follow-up biopsy to determine the level of tissue healing taking place,” said one of the study’s authors, Benjamin Lebwohl, MD, MS, of the Celiac Disease Center at Columbia University Medical Center in New York. “These findings suggest that a follow-up biopsy can be useful for predicting complications down the road.”

Other authors of the study include: K. Michaëlsson of Uppsala University in Uppsala, Sweden, and P.H.R. Green of Columbia University Medical Center.

The study, “Persistent Mucosal Damage and Risk of Fracture in Celiac Disease,” appears in the February issue of JCEM.

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Founded in 1916, the Endocrine Society is the world’s oldest, largest and most active organization devoted to research on hormones and the clinical practice of endocrinology. Today, the Endocrine Society’s membership consists of over 17,000 scientists, physicians, educators, nurses and students in more than 100 countries. Society members represent all basic, applied and clinical interests in endocrinology. The Endocrine Society is based in Chevy Chase, Maryland. To learn more about the Society and the field of endocrinology, visit our site at www.endocrine.org. Follow us on Twitter at https://twitter.com/#!/EndoMedia.